Healthcare Provider Details

I. General information

NPI: 1619740230
Provider Name (Legal Business Name): SYBIL'S MOBILE HAIR SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 W BUFFWOOD DR
BAKER LA
70714-3755
US

IV. Provider business mailing address

229 W BUFFWOOD DR
BAKER LA
70714-3755
US

V. Phone/Fax

Practice location:
  • Phone: 225-284-8959
  • Fax:
Mailing address:
  • Phone: 225-284-8959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. SYBIL R RAMSEY
Title or Position: OWNER
Credential: SPECIALIST
Phone: 225-284-8959